Evidence map›Paper›PMID 37937309›Full record

ArticleBMJ open sport & exercise medicine2023

Cardiovascular risk and systemic inflammation in male professional rugby: a cross-sectional study.

Clíodhna McHugh, Karen Hind, Aine Kelly, Ursula Fearon, Meagan Wasfy, Achilleas Floudas, Zsuzsanna Barad, Kathryn Dane, Gareth Farrell, Fiona Wilson

Abstract read
In one paragraph

Article in BMJ open sport & exercise medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Clíodhna McHughDepartment of Physiotherapy, Trinity College Dublin, Dublin, Ireland.ORCID 0000-0001-9960-1954
Karen HindDepartment of Sport and Exercise Sciences, Durham University, Durham, UK.ORCID 0000-0002-4546-5536
Aine KellyDepartment of Physiology, Trinity Biomedical Science Institute, Trinity College Dublin, Dublin, Ireland.
Ursula FearonDepartment Molecular Rheumatology, Trinity Biomedical Science Institute, Trinity College Dublin, Dublin, Ireland.
Meagan WasfyFootball Player Health Study, Harvard Medical School, Boston, Massachusetts, USA.
Achilleas FloudasDepartment Molecular Rheumatology, Trinity Biomedical Science Institute, Trinity College Dublin, Dublin, Ireland.
Zsuzsanna BaradDepartment of Physiology, Trinity Biomedical Science Institute, Trinity College Dublin, Dublin, Ireland.
Kathryn DaneDepartment of Physiotherapy, Trinity College Dublin, Dublin, Ireland.ORCID 0000-0001-8083-6278
Gareth FarrellLeinster Rugby, Dublin, Ireland.
Fiona WilsonDepartment of Physiotherapy, Trinity College Dublin, Dublin, Ireland.ORCID 0000-0002-0292-1087

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate cardiovascular risk factors' prevalence and association with systemic inflammation in professional male rugby players (RP). Methods: A cross-sectional investigation of 46 professional male RP (26.1±4.1 years) cardiovascular risk factors were compared by position. Inflammatory markers were compared with healthy controls (n=13) and patients with rheumatoid arthritis (RA) (n=10). Results: Twenty-six per cent of RP had no risk factors, 49% had 1-2 cardiovascular risk factors and 25% had 3-4 risk factors. Forwards had greater body fat (p<0.001), visceral fat (p<0.001), glucose (p=0.025), and C reactive protein (CRP) (p=0.023) compared with backs. RP demonstrated more favourable lipid and glucose profiles than reference values for the general population. Most RP (n=28, 61%) had elevated blood pressure (≥140/90 mm Hg). RP had higher vascular adhesion molecule-1 (VCAM-1) (p=0.004) and intracellular adhesion molecule-1 (ICAM-1) (p=0.002) than healthy controls. RP had lower CRP than patients with RA (p=0.009), while one-third (n=15) displayed equivalent ICAM-1 and VCAM-1 levels. Multivariate clustering and principal component analysis biplots revealed higher triglycerides, inflammatory markers, and worse body composition were associated with forwards. Conclusions: Despite athletic status, most of this rugby cohort had at least one cardiovascular risk factor. Concomitantly, these RP demonstrated increased levels of inflammation, with one-third, primarily forwards, displaying equivalent levels to patients with inflammatory disease. Further studies are needed to unravel the prognostic implications of increased inflammation in RP because unchecked, chronic inflammation may lead to increased cardiovascular disease risk.

Indexed as

AthleteCardiology physiologyCardiovascularRisk factorSports & exercise medicine

Identifiers

PMID37937309
PMCPMC10626771

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.